Originally Posted by Anonymous
They would pay us that much because we are clinicians and we are worth that much. Can you educate patients on everything they need to know about diabetes and their insulin dosing? I doubt it. There's a big difference in a sales rep whose been told what to say and someone who knows the disease state and can educate the pts.
There is a big difference in talking with patients and endocrinologists.
Can you tell us the difference between T1, LADA and T1.5? Why should metformin be avoided in patients with mitochondrial diabetes? Please tell us about "metabolic memory" and the effects of early meticulous glucose control versus meticulous control in patients with CVD or a long history of DM.
A hospital rep might explain to you sliding scale should be discouraged because insulin and glucose co-modulate inflammation. Hyperglycemia and hyperinsulinemia lead to a 7-fold increase in NF-kB (a regulator of inflammatory response). However, hyperinsulinemia with eugluycemia is anti-inflammatory. Is that important to know? Why?
Please tell us about the vascular effects of glucose variability and oxidative stress and why this is important for diabetic patients. Pro-oxidants are supposed to be reduced by anti-oxidants. The antioxidant, vitamin E, blocks the absorption of statins. Do you have any diabetic patients with hypercholesterolemia who take vitamin E?
You do your job and we will do our job. Don't assume Novo reps are uneducated and ignorant.